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General NPI Number Information
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NPI Number | 1548543390
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Entity Type | Individual
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Provider Name | JEANINE HANSEN RNP
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Gender | Female
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 09/27/2011
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Provider Practice Location Address
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Address Line | 6507 MCNUTT WAY
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City | CYPRESS
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State | CA
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Zip | 90630-5360
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Country | US
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Telephone | 562-743-7014
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Fax | 714-894-2520
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Provider Business Mailing Address
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Address Line | 6507 MCNUTT WAY
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City | CYPRESS
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State | CA
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Zip | 90630-5360
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Country | US
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Telephone | 562-743-7014
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Fax | 714-894-2520
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 6538
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN127282
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License Number State | CA
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